Alpenrose Dinner-Dance Reservation Form

Weihnachtstanz Valencia Ballroom     December 20, 2009( New Date January 24, 2010 )       Doors open at 12:30 Noon

Dinner at 12:30 PM.                                  Dancing .2 PM. to 6 PM.

I plan to attend the dinner-dance with        _______ Members @ $28.00 each, Total________

                                                                                 _______ Guests @ $35.00 each Total________

                                                                                                                                Grand Total________

Name_____________________________________          Telephone (            )_______________

Address____________________________      City/State________________       _Zip________

Talk it over with whom you want to sit, ( It would be a great help) than let us know who is on your table, (tables of eight)

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This form with your payment should be returned to Edie Heindel 2106 Hershey Ct. York PA. 17404-1768 by  no later than December 2, 2009 (New Deadline January 14, 2010). Please no exceptions. Please no refunds after Deadline Make checks payable to  (Alpenrose )

_______________Separate here and pay separately_________________________________

Alpenrose Membership Renewal Form

Please renew ( my ) ( our ) membership to the German-American Society ( Alpenrose ) for 2010. Adult dues are $15.00 per year. Youth dues for 6 year olds through college are $7.50. The Deadline is March 31, 2010.

Please complete the information requested below.

Name: 1._________________________________________Name 2______________________________________

Street______________________________________________________________________________________

City:________________________State:__________________________Zip:_________________Telephone (       )________________

Send completed form and check payable to ( Alpenrose ) and a self-addressed, stamped envelope to [ Al. Langis 12 Culpepper Rd. Shrewsbury, Pa. 17361 ]

Date rec’d_____________________________                             2009Card no. ___________________

Optional: Birthday 1.___________________                                     Anniversary:_______________________

                Birthday 2. __________________                                          E-Mail:______________________________